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INDONESIA
Journal Of Nursing Practice
Published by Universitas Strada Indonesia
ISSN : 26143488     EISSN : 26143496     DOI : 10.30994
Core Subject : Health,
Nursing
The Journal Of Nursing Practice focuses its article in the field of nursing, which is the branch of health sciences. The scope of this journal articles are: • Medical and Surgical Nursing • Emergency • Maternity And Pediatric Nursing • Psychiatric • Family and Community Nursing • Geriatric Nursing • Education and Management in Nursing
Arjuna Subject : Keperawatan - Keperawatan (Lain-Lain)
Articles 585 Documents
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Administration of Pumpkin Seeds Herbal Capsules (Cucurbita Moschata) and Iron Supplement Tablets to Increase Serum Ferritin Levels in Pregnancy Anemia Ika Yuni Susanti; Sri Rahayu; Diyah Fatmasari
Journal Of Nursing Practice Vol. 9 No. 4 (2026): July
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v9i4.761

Abstract

Background: Iron deficiency anemia is the most common hematological problem, affecting approximately 38% of pregnant women globally. Pregnant women who take oral iron supplements often complain of gastrointestinal problems. The 2021 Household Health Survey (HHS) found the prevalence of iron deficiency anemia among pregnant women in Indonesia was 24.5%. Purpose: The aim of this study was to examine the effect of addition of pumpkin seed capsules (Cucurbita moschata) to increase serum ferritin levels in pregnant women with anemia. This type of research is a true ex- experimental study with a pretest-posttest with a control group. Methods: Serum ferritin test method using the ELFA method (enzyme-linked fluorescent immunoassay). The blood sample for the test is 1 ml of serum. The limit of iron deficiency anemia with a value of <9.3 µg/mL. The study period was September-October 2024. Results: The results of the Wilcoxon test showed a Significance value (Sig) in the group given pumpkin seed capsules obtained a ρ value of 0.00 1 smaller than α 0.05, thus concluding that pumpkin seed capsules (Cucurbita moschata) have an effect on increasing serum ferritin levels in pregnant women with anemia. Conclusion: Pumpkin seeds can be a non-pharmacological remedy for increasing hemoglobin levels if consumed regularly. One effort that can be made to prevent anemia in pregnant women is to utilize local plants as functional foods found around the community's residence.
Factors Associated with the Interest of IUD Contraceptive Users in Kalirong Village, Kediri Regency Flariza Vindra Assafa; Lumastari Ajeng
Journal Of Nursing Practice Vol. 9 No. 4 (2026): July
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v9i4.774

Abstract

Background: Population growth in Tarokan Village, Kediri, increased by 0.77% in 2021–2022 and 0.73% in 2022–2023, driven by a decline in contraceptive use. The largest decline occurred in IUD use, which fell from 46 in 2022 to 36 in 2023. Purpose: To identify factors influencing IUD contraceptive acceptors’ interest in Kalirong Village, Kediri. Methods: This study used a cross-sectional analytical survey of 82 PUS mothers aged >21–<35 years with >1 child, selected using simple random sampling. Data were collected via a questionnaire and analyzed using the chi-square test with a significance level of p = 0.1. Results: There was a significant association between the knowledge of postpartum mothers in Kalirong Village and their interest in IUD use (p = 0.000 < 0.1), whereas spousal support was not associated (p = 0.784 > 0.1). An analysis of parity was not performed because all respondents had the same parity. Conclusion: Knowledge is the dominant factor influencing interest in IUD use. Conclusion: Comprehensive education and counseling are essential to increase family planning participation, as women's knowledge significantly influences their interest in using an IUD, whereas spousal support and parity show no significant effect.
The Relationship between Pregnant Women's Knowledge and Attitude with the Implementation of the Delivery Planning and Complication Prevention Program (P4K) in the Work Area of the Grogol Community Health Center, Kediri Regency Yuni Sevina Saputri; Lumastari Ajeng Wijayanti; Ririn Indriani
Journal Of Nursing Practice Vol. 9 No. 4 (2026): July
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v9i4.775

Abstract

Background: The Birth Planning and Complication Prevention Programme (P4K) aims to improve access to and the quality of maternal and newborn health services by promoting birth preparedness and preventing pregnancy-related complications. Purpose: Maternal knowledge and attitudes are important factors influencing the implementation of P4K. A preliminary survey conducted at Puskesmas Grogol found that P4K coverage had not achieved the expected target and that 70% of ten interviewed pregnant women were unaware of the P4K programme. Methods: This study employed a correlational design with a cross-sectional approach. The study included 42 third-trimester pregnant women selected using simple random sampling. Data were collected using structured questionnaires and analysed using Spearman's rank correlation test. Results: Of the 42 respondents, 54.8% had good knowledge of P4K, while 52.4% had moderately positive attitudes toward the programme. Spearman's rank correlation analysis showed a statistically significant relationship between maternal knowledge and P4K implementation (p = 0.002) and between maternal attitudes and P4K implementation (p = 0.032). Both p-values were less than 0.05. Conclusion: Maternal knowledge and attitudes were significantly associated with the implementation of the Birth Planning and Complication Prevention Programme (P4K). These findings suggest that improving maternal knowledge and fostering positive attitudes may enhance P4K implementation, thereby supporting better birth preparedness and maternal health services.
A Descriptive Study of the Daily Dietary Patterns of Stunted Children Zauhani Kusnul; Yuly Peristiowati; Herin Mawarti; Dina Dewi Sartika L Ismail; Wiwik Afridah; Duwi Basuki; Wahyu Sri Astutik; Aesthetica Islamy; Janes Jainurrakhma
Journal Of Nursing Practice Vol. 9 No. 4 (2026): July
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v9i4.794

Abstract

Background: Toddler age is a period of very rapid growth and development. At this time, it is important to meet the need for adequate nutritional intake in terms of quantity and quality. Malnutrition is a condition where toddlers experience nutritional deficiencies due to low energy and protein intake over a long period of time. Nutritional problems at an early age not only have an impact on impaired growth and development of children, but also increase toddler mortality rates, reduce intelligence levels, increase the risk of mental retardation, and reduce work performance and productivity. Purpose: The purpose of this study was to obtain detailed information about the daily eating patterns of stunted children. Methods: The population of this research was stunted toddlers base in the area of Publich health services of Bendo, Pare. From the all posyandu we chooce one posyandu ada the target by randomize methods. Then we find Dahlia Posyandu as the sample. Posyandu Dahlia has five stunted toddlers so we take them as our sample. Data was taken using a food recall form filled out by the toddler's mother for one week. Furthermore, the data was processed descriptively and presented in the form of a distribution table. Results: This study shows that all toddlers eat three main meals a day, in terms of daily vegetable and fruit consumption, the majority of children rarely eat vegetables and sufficient daily calorie intake, even more than the Daily Calorie Requirement Standard for fruit, In terms of snack food consumption, all children eat snacks very often and the types of snacks eaten are snacks with a strong savory taste and candy. Conclusion: The problem in the diet of stunted children is not just in the adequacy of calories, but in the diversity of sources of protein, fruit and vegetables.
Associations of Reproductive Health Knowledge and Attitudes with Menstrual Hygiene Behaviors among Adolescent Girls at Al Muflihun Islamic Boarding School, Malang Hazna Dinda Tyafarda; Ratih Paramita Suprapto; Ningrum Paramita Sari; Lilik Indahwati
Journal Of Nursing Practice Vol. 9 No. 4 (2026): July
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v9i4.833

Abstract

Background: Adolescents' emotional responses to menarche tend to vary, including anxiety, confusion, and embarrassment, often linked to their knowledge. Lack of knowledge about reproductive health can influence adolescents’ attitudes and behaviors during menstruation. For example, inadequate menstrual hygiene practices may lead to various health issues. Purpose: This study aimed to examine whether reproductive health knowledge predicts adolescents' attitudes and menstrual hygiene behaviors, and whether attitudes predict menstrual hygiene behaviors among female students at Al Muflihun Islamic Boarding School in Malang. Methods: This study used a cross-sectional design with an analytic observational approach. A total of 48 female students aged 10–17 years were selected through total sampling. Data were collected using structured questionnaires and analyzed using regression-based path analysis. Results: Results showed that 68.8% of respondents had good knowledge, 25.0% had moderate knowledge, and 6.3% had poor knowledge. Additionally, all respondents (100%) demonstrated positive attitudes and good behaviors in dealing with menstruation. Regression-based path analysis using continuous questionnaire scores showed that reproductive health knowledge significantly predicted attitude (β=0.675; p=0.000) and behavior (β=0.334; p=0.032), while attitude also predicted behavior (β=0.392; p=0.013). Conclusion: These findings support Lawrence Green’s theory, which states that predisposing factors such as knowledge and attitude affect health behavior. Therefore, more intensive and continuous reproductive health education in schools can improve awareness and menstrual hygiene practices among adolescent girls.
A Pre Experimental Study: The Effect of Blanket Warmers on Increasing Temperature in Post Caesarean Section Hypothermia Patients Astrida Budiarti; Miftaqul Jannah; Puji Hastuti
Journal Of Nursing Practice Vol. 9 No. 4 (2026): July
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v9i4.906

Abstract

Background: Caesarean section is one of the most frequently performed surgical procedures, commonly using spinal block anesthesia. One of the common side effects of spinal anesthesia is hypothermia. Purpose: The aim of this study was to analyze the effect of using a blanket warmer on increasing body temperature in post caesarean section patients experiencing hypothermia following spinal anesthesia. Methods: This study employed a pre-experimental design with a pre-posttest approach. The population consisted of all caesarean section patients undergoing spinal anesthesia, totaling 23 individuals. The sampling technique used was non-probability purposive sampling, with a final sample size of 23 patients. Data collection was carried out using observation sheets. Statistical analysis was performed using the paired sample t-test. Results: The findings showed that the mean body temperature before intervention of the blanket warmer was 36.10 °C, and after the intervention, the mean temperature increased to 36.67°C. The paired sample t-test revealed a statistically significant difference with a p-value of 0.000, which is lower than the significance level of α = 0.05. Conclusion: Blanket warmer significantly increases body temperature in post caesarean section patients receiving spinal block anesthesia. Blanket warmers are effective in addressing hypothermia as they provide controlled heat transfer, allowing patients with hypothermia to absorb heat from the device.
A Study on the Impact of Growth and Development Screening Education on Posyandu Cadres’ Knowledge Lisbet Manalu; Dinta; Tonika Tohri
Journal Of Nursing Practice Vol. 9 No. 4 (2026): July
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v9i4.954

Abstract

Background: Early detection of child growth and developmental problems is essential to ensure optimal child outcomes and improve human resource quality. Posyandu cadres play a crucial role in community-based screening; however, limited knowledge and technical skills may hinder effective implementation. Purpose: Educational interventions are therefore needed to strengthen cadres’ capacity in growth and developmental screening. Methods: This study employed a pre-experimental one-group pretest–posttest design conducted in the Ciwaruga Health Center working area. A total of 33 Posyandu cadres were selected using total sampling based on predetermined inclusion criteria. The intervention consisted of structured education delivered through lectures, interactive discussions, and hands-on demonstrations covering anthropometric measurements, growth monitoring charts/ KMS (Kartu Menuju Sehat), developmental screening using the KPSP (Kuesioner Pra Skrining Perkembangan), and referral procedures. Cadres’ knowledge was measured before and after the intervention using a validated and reliable questionnaire. Data were analyzed using descriptive statistics and the Wilcoxon signed-rank test. Results: Before the intervention, most cadres demonstrated low to moderate knowledge levels. Following the educational program, a substantial improvement was observed, with the majority of respondents achieving a high level of knowledge. Statistical analysis revealed a significant difference between pretest and posttest knowledge scores (p < 0.001), indicating the effectiveness of the educational intervention. Conclusions: Growth and developmental screening education significantly improves the knowledge of Posyandu cadres. Structured, practice-oriented educational approaches are effective strategies for enhancing cadre capacity and supporting the quality of community-based child health services.
Enhancing Adolescent Mental Health: A Quasi-Experimental Study on the Impact of Combined Cognitive behavioral Therapy and Group Therapy Estin Yuliastuti; Nurul Istiqomah; Yuli Widyastuti
Journal Of Nursing Practice Vol. 9 No. 4 (2026): July
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v9i4.1021

Abstract

Background: Adolescent mental health problems remain a major public health concern. Although Cognitive Behavioral Therapy (CBT) and group therapy have individually demonstrated effectiveness, evidence regarding their combined use among adolescents remains limited. Purpose: This study aimed to evaluate the effectiveness of combined CBT and group therapy in improving adolescent mental health. Methods: This quasi-experimental pre-test–post-test control group study with a 1:1 allocation ratio was conducted among 40 adolescents in Surakarta, Indonesia, from February to March 2024. Participants were recruited using a cluster-based sampling approach followed by total sampling of eligible students. The intervention group received CBT followed by group therapy over three consecutive sessions, whereas the control group received a delayed intervention after study completion. Mental health was assessed using the Strengths and Difficulties Questionnaire (SDQ). Data were analyzed using the Wilcoxon Signed-Rank Test and Mann–Whitney U Test, with effect sizes (r) calculated to determine the magnitude of the intervention effect Results: The intervention group demonstrated a significant improvement in SDQ scores following the intervention (Z = −3.18, p = 0.001; r = 0.71), whereas no significant change was observed in the control group (Z = −0.38, p = 0.705; r = 0.08). Post-intervention comparison showed significantly better mental health outcomes in the intervention group than in the control group (Z = −3.58, p < 0.001; r = 0.57), indicating a large intervention effect. Conclusion: The combination of CBT and group therapy significantly improved adolescents' mental health and demonstrated clinically meaningful benefits. This integrated intervention may be considered an effective early mental health strategy for adolescents and has potential for implementation in nursing practice, school mental health programs, and community mental health services when delivered by appropriately trained professionals.
Profile of Religiosity, Spirituality, Emotional Regulation, and Mental Health in Adolescents Nia Agustiningsih; Faizatur Rohmi; Listiyawati Ratnaningrum
Journal Of Nursing Practice Vol. 9 No. 4 (2026): July
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v9i4.1050

Abstract

Background: Religiosity, spirituality, and emotional regulation are some of the factors that contribute to adolescent mental health. Purpose: The purpose of this study is to describe the profile of religiosity, spirituality, emotional regulation, and mental health of adolescents. Methods: This research is a quantitative descriptive study with a cross-sectional approach. The sample of the study was 184 adolescents in high school who met the criteria, which was carried out by purposive sampling. Researchers adapted and modified questionnaires, namely the Daily Spiritual Experience Scale, Duke University Religion Index, Emotion Regulation Scale, and Mental Health Inventory. Data were analyzed descriptively and presented in frequency distribution, percentage, minimum, maximum, average, and standard deviation using SPSS. The study has been declared ethically appropriate with number 750/S.Ket/KEPK/UK/X/2025. Results: The results of the study obtained data that of the 184 adolescents, most were in the moderate category, namely religiosity 144 people (78.3%), spirituality 112 people (60.9%), emotional regulation 133 people (72.3%), and adolescent mental health 133 people (72.3%). Conclusion: Religiosity, spirituality, emotional regulation, and mental health in adolescents are important aspects that nurses must pay attention to as providers of comprehensive nursing care that includes bio-psycho-socio-spiritual aspects.
Differences in Stress Levels Due to Dental Pain based on Age Group in the Working Area of Jelbuk Jember Health Center Ristya Widi Endah Yani; Kiswaluyo; Emi Wuri Wuryaningsih; Firdausi Ramadhani; Pungky Amelia Purwoko Putri
Journal Of Nursing Practice Vol. 9 No. 4 (2026): July
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v9i4.1065

Abstract

Background: Stress caused by dental pain is a common but overlooked issue affecting all age groups. The health profile of Jember Regency in 2023 recorded that there were 94,439 cases of dental problems occurred in Jember Regency, with Jelbuk District ranking third in caries prevalence. This is exacerbated by the low number of visits to dentists in Jelbuk District, resulting in toothaches not being treated immediately, which can cause serious problems in the form of stress. Purpose: This study was conducted to determine differences in stress levels due to dental pain based on age groups in the working area of Jelbuk Jember Health Center. Methods: The methodology used in this study was observational analytic with a cross-sectional approach involving 120 people consisting of children, adolescents, adults, and the elderly selected through a purposive sampling technique. Variables in this study were stress levels due to dental pain and age.  Data were analyzed using IBM SPSS Statistics version 31.0 with Kruskal–Wallis and Mann Whitney test. Results: The results showed that subjects who experienced more mild stress were children (86.7%) and adolescents (66.7%), then subjects who experienced more moderate stress were adults (46.7%), and subjects who experienced more severe stress were elderly (36.7%). Analysis of the data obtained shows P-Value=0,000, meaning that there are differences in stress levels due to dental pain between age groups. Conclusion: In conclusion, children with adults, children with the elderly, adolescents with the elderly, and adults with the elderly show differences in stress levels due to dental pain, while children with adolescents and adolescents with adults do not show any differences in stress levels due to dental pain.

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